NPI | 1235584251 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS DAVID RIPLEY Owner 732-818-0789 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 38MC00724500) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2016-04-27 |